| *
Title of Courtesy:
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| * First Name:
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| * Last Name:
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| Initials:
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| *
Job Title:
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| *
Job
Function: Other: |
| * Company:
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| * Address:
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* City:
* State / Prov.: |
* Zip / Postal Code:
* Country: |
* Company Phone:
Fax: |
| Direct Phone: ext:
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*
Email:
Web site: |
| *
Industry Other: |
| *
Type of Company: |
End-User Systems Integrator Distributor/Reseller
OEM; please
specify type:
Other: |
| What networks do you work with: |
Allen-Bradley (DH/DH+/RIO)
AS-Interface
CANopen
ControlNet
DeviceNet
Ethernet
Foundation
Fieldbus
GE Fanuc Genius
LonWorks
Interbus
Modicon (MB, MB+, RIO)
Profibus
Reliance
(AutoMax, DCS/RIO,
AutoMax RNet/RIO)
Serial/Modbus
Siemens (L1, RIO)
Other
Do
not use/work with networks right now
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| I heard about
Woodhead Connectivity through: |
magazine ad tradeshow other website
word of mouth
direct mail piece seminar distributor Please
elaborate: |
| Have
you used our products before? |
|
Have you ever used Woodhead
Connectivity Products Before: |
| How
would you rate our Product: |
| Reliability |
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| Ease-of-Use |
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| Value for price paid |
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| Performance |
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| Documentation |
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| How
would you rate our Delivery: |
| On-time |
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| Availability |
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| Correct product
received |
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| Correct quantity
received |
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| How
would you rate our Customer Service: |
| Accessible |
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| Response time |
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| Product knowledge |
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| Phone support |
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| Professionalism |
|
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| How
would you rate our Technical Support: |
| Accessible |
|
| Response time |
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| Problem solving |
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| Professionalism |
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| Please
tell us how we might better serve you in the future: |
|